Individual
STEPHANIE A. GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1190 JULIAN CLARK RD, CHARLESTON, SC 29412-5257
(843) 708-7796
Mailing address
1190 JULIAN CLARK RD, CHARLESTON, SC 29412-5257
(843) 708-7796
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
250851
SC
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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